Ömer Küçükdemirci, Seher Gönen Şentürk, Hasan Eruzun, Müge Ustaoğlu, Ufuk Avcıoğlu
{"title":"ISCHEMIC SKIN NECROSIS DUE TO TERLIPRESSIN USE IN A PATIENT WITH HEPATORENAL SYNDROME: A CASE REPORT.","authors":"Ömer Küçükdemirci, Seher Gönen Şentürk, Hasan Eruzun, Müge Ustaoğlu, Ufuk Avcıoğlu","doi":"10.1097/SGA.0000000000000752","DOIUrl":"10.1097/SGA.0000000000000752","url":null,"abstract":"epatorenal syndrome (HRS) is an acute renal failure that is a common complication of cirrhosis, has a poor prognosis","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"411-415"},"PeriodicalIF":0.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-09-01Epub Date: 2023-05-09DOI: 10.1097/SGA.0000000000000732
Orhan Coşkun, Mehmet Mustafa Erdoğan, Mustafa Arslan
{"title":"WHEN REMOVE THE NASOGASTRIC TUBE: BEFORE OR AFTER ENDOSCOPY?","authors":"Orhan Coşkun, Mehmet Mustafa Erdoğan, Mustafa Arslan","doi":"10.1097/SGA.0000000000000732","DOIUrl":"10.1097/SGA.0000000000000732","url":null,"abstract":"Enteral nutrition is an alternative nutrition method for patients whose digestive system is functional but cannot be fed orally (Bankhead et al., 2009). The use of nasogastric feeding tubes (NGFTs) is common and clinicians often underestimate their placement, function, and maintenance (Prabhakaran et al., 2012). Due to complications that may occur during NGFT placement, it is recommended that the procedure be performed only by trained personnel (Creel & Winkler, 2007; Eldar & Meguid, 1984; Özdemir, Öztürk, Öcal, Metiner, & Onur, 2015). Confirmation of the position of the NGFT is crucial both during insertion and subsequent use (Braegger et al., 2010). Some clinicians evaluate the localization of the tube by giving air through the feeding tube and hearing a rumbling sound over the epigastric region (auscultation method) (Metheny, 1988). However, it may be difficult to determine the correctness of the tube location by auscultation, even in experienced hands, especially in patients with neurological disorders, who are unconscious, or who have impaired swallowing functions (Braegger et al., 2010). The morbidity associated with the NGFT is common, but often unclear. Therefore, a high index of suspicion mandates clinical alertness and patient WHEN REMOVE THE NASOGASTRIC TUBE: BEFORE OR AFTER ENDOSCOPY?","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"404-407"},"PeriodicalIF":0.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9785743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-09-01Epub Date: 2023-06-20DOI: 10.1097/SGA.0000000000000759
Yuan-Yuan Zhang, Ramoo Vimala, Ping Lei Chui, Ida Normiha Hilmi
{"title":"A Systematic Review of Exercise Therapy for Bowel Preparation: Evidence to Guide Practice.","authors":"Yuan-Yuan Zhang, Ramoo Vimala, Ping Lei Chui, Ida Normiha Hilmi","doi":"10.1097/SGA.0000000000000759","DOIUrl":"10.1097/SGA.0000000000000759","url":null,"abstract":"<p><p>This systematic review aims to evaluate (1) the effectiveness of exercise therapy in bowel preparation for colonoscopy, and (2) the characteristics of exercise programs for bowel preparation. Systematic searches were done in PubMed, EMBASE, the Cochrane Library, Web of Science, and CINAHL from inception to November 2022. Randomized controlled trials and quasi-experimental studies assessing the efficacy of exercise during bowel preparation were included in this review. Two reviewers independently assessed the methodological quality using a modified Downs and Black checklist. A narrative synthesis was conducted. A total of five studies (1,109 participants) were included in this review. In all eligible studies, the characteristics of the exercise programs varied and included mainly two types of exercise (walking and yoga), various amount of exercise (3,000-10,000 steps or 0.5-1.9 hours), and two exercise timing (during and 1 hour after taking the laxative). Available evidence indicated that exercise therapy is effective in improving the quality of bowel preparation. However, there was insufficient high-quality evidence to conclude the effects on procedure-related indicators, adverse events, and willingness to repeat preparation. Exercise should be recommended as an important part of routine bowel preparation for patients undergoing colonoscopy to improve the quality of bowel preparation. More rigorous studies focusing on the effects on procedure-related indicators, adverse events, and willingness to repeat preparation are needed. To ensure the effectiveness and safety of the intervention, it is critical to establish a standard, well-structured exercise program for bowel preparation.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"393-403"},"PeriodicalIF":0.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10050779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-09-01Epub Date: 2023-08-25DOI: 10.1097/SGA.0000000000000753
Nirupama Esther Jerome, Nancy E Edwards, Qinglan Priscilla Ding
{"title":"Impact of Mediterranean Dietary Education on Symptoms for Adults at Risk for Nonalcoholic Fatty Liver Disease.","authors":"Nirupama Esther Jerome, Nancy E Edwards, Qinglan Priscilla Ding","doi":"10.1097/SGA.0000000000000753","DOIUrl":"10.1097/SGA.0000000000000753","url":null,"abstract":"<p><p>This 2-month quasi-experimental study focused on the impact of education regarding the Mediterranean diet on symptoms for adults who are at risk for nonalcoholic fatty liver disease (NAFLD). The study was conducted on a sample of 28 adults who presented to Pinnacle clinical research for NAFLD screening via a fibroscan. These individuals who are at risk for NAFLD received a single 15-minute one-on-one in person education regarding the Mediterranean diet. The diet encourages fruits, vegetables, whole grains, legumes, nuts, seeds, fish, and olive oil. The results of the study showed that the Mediterranean diet education was associated with significant improvement of abdominal symptoms ( t = 3.34, p = .03), improvement of fatigue symptoms ( t = 5.88, p < .001), and decrease in hepatic steatosis ( t = 5.77, p < .001). Our study suggests that the education on the Mediterranean diet may be associated with improvement of self-reported abdominal symptoms, fatigue, and steatosis score.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"359-370"},"PeriodicalIF":0.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10101806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-09-01Epub Date: 2023-05-09DOI: 10.1097/SGA.0000000000000727
Zefeng Zhang, Xiaoguang Zhang
{"title":"A RARE COMPLICATION OF DIAGNOSTIC COLONOSCOPY: AN INCARCERATED COLONOSCOPE IN A LEFT INGUINAL HERNIA.","authors":"Zefeng Zhang, Xiaoguang Zhang","doi":"10.1097/SGA.0000000000000727","DOIUrl":"10.1097/SGA.0000000000000727","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"408-410"},"PeriodicalIF":0.8,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9791477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-07-01Epub Date: 2023-05-17DOI: 10.1097/SGA.0000000000000739
Tugba Caner Karatas, Elif Gezginci
{"title":"The Effect of Using a Stress Ball During Endoscopy on Pain, Anxiety, and Satisfaction: A Randomized Controlled Trial.","authors":"Tugba Caner Karatas, Elif Gezginci","doi":"10.1097/SGA.0000000000000739","DOIUrl":"10.1097/SGA.0000000000000739","url":null,"abstract":"<p><p>A stress ball is a simple and effective distraction method during painful procedures. The aim of this study was to evaluate the effect of using a stress ball during endoscopy on patients' pain, anxiety, and satisfaction levels. The randomized controlled study included 60 patients who underwent endoscopy in a training and research hospital in Istanbul. Patients were randomly assigned to the stress ball group or the control group. Patients in the stress ball group ( n = 30) squeezed a stress ball during endoscopy, whereas the control group ( n = 30) received no intervention during endoscopy. Data were collected using a sociodemographic form, a postendoscopy questionnaire, the Visual Analog Scale to assess pain and satisfaction, and the State-Trait Anxiety Inventory. Pain scores did not differ significantly between the groups before ( p = .925) or during ( p = .149) the endoscopy procedure but were significantly lower in the stress ball group after the procedure ( p = .008). Similarly, preprocedure anxiety scores were comparable ( p = .743), whereas postprocedure anxiety scores were significantly lower in the stress ball group ( p < .001). The satisfaction score after endoscopy was higher in the stress ball group, but the difference was not statistically significant ( p = .166). This study suggests that use of a stress ball during endoscopy reduces patients' pain and anxiety levels.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"46 4","pages":"309-317"},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9891287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-07-01Epub Date: 2023-06-05DOI: 10.1097/SGA.0000000000000733
Esra Doğan Yılmaz, Nigar Ünlüsoy Dinçer
{"title":"The Effects of Virtual Reality Glasses on Vital Signs and Anxiety in Patients Undergoing Colonoscopy: A Randomized Controlled Trial.","authors":"Esra Doğan Yılmaz, Nigar Ünlüsoy Dinçer","doi":"10.1097/SGA.0000000000000733","DOIUrl":"10.1097/SGA.0000000000000733","url":null,"abstract":"<p><p>Colonoscopy is a painful procedure that causes anxiety and changes in vital signs. Pain and anxiety may cause patients to avoid colonoscopy, which is a preventive and curative healthcare service. The aim of this study was to examine the effects of virtual reality glasses on the vital signs (blood pressure, pulse, respiration, oxygen saturation, and pain) and anxiety in patients undergoing colonoscopy. The population of the study consisted of 82 patients who underwent colonoscopy without sedation between January 2, 2020, and September 28, 2020. Post-power analysis was performed with 44 patients who agreed to participate in the study, met the inclusion criteria, and were followed up for pre- and post-tests. The experimental group participants (n = 22) watched a 360° virtual reality video through virtual reality glasses whereas the control group participants (n = 22) underwent a standard procedure. Data were collected using a demographic characteristics questionnaire, the Visual Analog Scale-Anxiety, Visual Analog Scale-Pain, Satisfaction Evaluation Form, and monitoring of vital signs. The experimental group participants had significantly lower levels of pain, anxiety, systolic blood pressure, and respiratory rate and significantly higher peripheral oxygen saturation during colonoscopy than the control group participants. The majority of the experimental group participants were satisfied with the application. Virtual reality glasses have a positive effect on vital signs and anxiety during colonoscopy.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"46 4","pages":"318-328"},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-07-01Epub Date: 2023-05-01DOI: 10.1097/SGA.0000000000000704
Merve Eren Durmuş
{"title":"SWEET'S SYNDROME IN A PATIENT WITH CROHN DISEASE: A CASE REPORT.","authors":"Merve Eren Durmuş","doi":"10.1097/SGA.0000000000000704","DOIUrl":"10.1097/SGA.0000000000000704","url":null,"abstract":"Sweet’s syndrome, or acute febrile neutrophilic dermatoses, was first described in 1964 by Robert Douglas Sweet (Neoh, Tan, & Ng, 2007). Sweet’s syndrome is more common in females, with a female to male ratio of 3.7:1, and a mean age of 52 years (Cohen, 2007). This syndrome presents with fever, neutrophil-dominant leukocytosis, red– brown plaques, and nodules mainly in the head, neck, and upper extremities, which are painful and tender to touch. Crohn disease (CD) is an immunity-based inflammatory disease with unknown etiology that may affect any part of the gastrointestinal tract with a transmural pattern of inflammation (Stange et al., 2006). Cutaneous manifestations of CD are usually erythema nodosum, oral aphthous ulcers, and epidermolysis bullosa. On the other hand, Sweet’s syndrome is rarely associated with CD (Trost & McDonnell, 2005).","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"46 4","pages":"332-335"},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9945575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}